Justin Scott Matsuura, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34023TLG Issued in CA

Practice address

7898 Broadway
Lemon Grove, CA 91945-1801

Phone

(619) 464-7713

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Diego Center for Vision Care

  • Vision Therapy Optometrist
  • Lemon Grove, CA
  • NPI 1275954372
  NPD (past)
• San Diego Center for Vision Care Optometry PC

  • Optometrist
  • Lemon Grove, CA
  • NPI 1033173315
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1215407499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7898 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451801",
            "telephone_number": "619-464-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7898 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451801",
            "telephone_number": "619-464-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUURA",
        "first_name": "JUSTIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "34023TLG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "34023TLG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "34023TLG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "34023TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34023TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Martinez
• Teodoro Marungoy, CNA
• Masheil Zakariya DDS Inc
• Jordan Mason, DPT
• Elizabeth Ann Mathews
• Max Laufer Inc. (Maxcare Ambulance)
• McAlister
• McAlister Institute
• McAlister Institute for Treatment & Education, Inc. (McAlister Institute - Lemon Grove Facility)
• McAlister Institute for Treatment & Education, Inc. (McAlister Institute Group Home East)

• Optometrist in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.